In 2013 the U.S. Census Bureau reported that 11.3% (approximately 125,000 people in the working class) of Nebraskans under age 65 were without health insurance. It has been estimated that more than twice as many lack dental insurance (approximately 250,000). By 2014, the Affordable Care Act had reduced these numbers for health insurance, but dental benefits were only mandated for children, still leaving a large gap in coverage for adults. Low family income can lead to a lack of opportunity, social difficulty and poverty status. Substandard housing conditions and living in medically underserved communities are additional obstacles to good oral health. In 2014, Kids Count Nebraska reported nearly 41% of our children are growing up in low-income families.